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<br /> MINE ID # OR PROSPECTING ID # M-22-325
<br /> INSPECTION DATE ©9 23-15 INSPECTOR'S INITIALS I D6;
<br /> OBSERVATIONS
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<br /> I & E Contact Address cc: ❑ CE
<br /> ❑ BL
<br /> NAME ❑ F S
<br /> ❑ HW
<br /> OPERATOR ❑ HMWMD (CH)
<br /> ❑ SE
<br /> STREET / ❑ WQCD (CH)
<br /> ❑ OTHER
<br /> CITY/STATE/ZIP
<br />
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